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The relationship between payers and providers has often been adversarial, but healthcare reform has been changing that -- which leaves the former adversaries trying to figure out how to forge new partnerships.
When there were changes last year to CPT codes, Lisette Wright saw revenue cycle shifts disruptive enough to put behavioral health organizations she worked with out of business.
The release of Medicare's payments to doctors could impact medical practices and health systems in a lot of ways, including being fodder for fraud accusations -- a problem that's worth getting ahead of from the get-go.
Traditional continuing care retirement communities are looking for business opportunities to expand into home care.
The federal government and a number of hospitals may want to transition to a new Medicare reimbursement model. But there are still billions of dollars in disputed fee-for-service claims waiting to be settled.
One of the biggest beneficiaries of healthcare reform's expansion of insurance coverage to more than 13 million people this year has been the nation's safety-net hospitals. At least in the states that have chosen to accept the Medicaid expansion.
Amid the transition to the Affordable Care Act, startup companies looking to augment, service or replace health insurance have been getting record investments.
The federal government has granted itself potent new authority to expel physicians from Medicare if they are found to prescribe drugs in abusive ways, following through on a proposal issued earlier this year.
AmeriMark Direct started its mail order catalog business here in the 1960s, and for decades, everyone assumed that health insurance came with the job.
The federal government and a number of hospitals may want to transition to a new Medicare reimbursement model. But there are still billions of dollars in disputed fee-for-service claims waiting to be settled, sowing animosity between health systems and the feds.